Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $3,164.03 / $7,439.00	Facility		$1,615.00	$3,164.03	$7,439.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,991.59 / $4,544.22 / $6,612.82	Facility		$2,991.59	$4,544.22	$6,612.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $508.57 / $636.19 / $1,039.25	Facility	AS	$508.57	$636.19	$1,039.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $77,022.14 / $92,743.04	Facility		$55.00	$77,022.14	$92,743.04
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $713.28 / $776.25 / $1,500.47	Facility	AS	$713.28	$776.25	$1,500.47